| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $385.70 | $482.13 | $663.58 | |
Medica
| Facility | $373.01 | $415.31 | $475.42 | |
Medica
| Professional | $1,658.00 | $1,658.00 | $1,658.00 |
Brachytherapy isodose plan; complex (multiplane isodose plan, volume implant calculations, over 10 sources/ribbons used, special spatial reconstruction, remote afterloading brachytherapy, over 12 sources)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $385.70 | $482.13 | $663.58 | |
Medica
| Facility | $373.01 | $415.31 | $475.42 | |
Medica
| Professional | $1,658.00 | $1,658.00 | $1,658.00 |